2025 ICD-10-CM code T85.6
Mechanical complication of other specified internal and external prosthetic devices, implants, and grafts.
Medical necessity should be established by documenting the clinical signs, symptoms, and functional limitations associated with the mechanical complication. The need for any intervention or treatment related to the complication should also be justified.
It is the clinician's responsibility to accurately document the specific type of mechanical complication, the device or graft involved, and the relationship between the complication and the device/graft.Additional codes should be used to describe the resulting condition or any adverse effects.
- 19
- Injury, poisoning and certain other consequences of external causes (S00-T88)Complications of surgical and medical care, not elsewhere classified (T80-T88)
In simple words: This code signifies a mechanical problem or difficulty with an implanted medical device or graft, other than those specifically listed elsewhere in the ICD-10-CM.
Mechanical complication of other specified internal and external prosthetic devices, implants, and grafts. This code excludes failure and rejection of transplanted organs and tissue (T86.-).
Example 1: A patient with a previously implanted pacemaker experiences lead dislodgement, causing intermittent pacing abnormalities., A patient with a prosthetic limb reports mechanical instability at the joint interface, leading to difficulty with ambulation., A patient with a vascular graft develops a stenosis at the anastomosis site, resulting in reduced blood flow.
Documentation should clearly specify the device, implant, or graft involved, the nature of the mechanical complication, and the impact on the patient's condition. Any associated conditions or adverse effects should also be documented.
** For complications involving drugs or other substances, use T36-T50 with the fifth or sixth character 5. This code should not be used for post-procedural conditions where no complications are present (e.g., artificial opening status, closure of external stoma, fitting and adjustment of external prosthetic device).It should not be used for complications classified elsewhere (e.g., cerebrospinal fluid leak from spinal puncture, colostomy malfunction, etc.).
- Payment Status: Active
- Specialties:The specialties associated with this code will depend on the specific device, implant, or graft involved.Specialties might include cardiology (for pacemakers), orthopedics (for prosthetic limbs), vascular surgery (for vascular grafts), and others.
- Place of Service:Depends on the setting where the complication is evaluated and managed (e.g., Inpatient Hospital, On Campus-Outpatient Hospital, Physician's Office).